| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,684.00 | $18,600.00 | |
Medica
| Facility | $155.00 | $526.00 | $4,132.00 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 |
Harvest of upper extremity vein, 1 segment, for lower extremity or coronary artery bypass procedure (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,684.00 | $18,600.00 | |
Medica
| Facility | $155.00 | $526.00 | $4,132.00 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 |